| Oral Surgery Specialists Of Pueblo | |
|
3691 Parker Blvd Pueblo CO 81008-2278 | |
| (719) 212-0777 | |
| Not Available |
| Full Name | Oral Surgery Specialists Of Pueblo |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Pathology |
| Location | 3691 Parker Blvd, Pueblo, Colorado |
| Authorized Official Name and Position | Tyler E Nelson (OWNER) |
| Authorized Official Contact | 7195974060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral Surgery Specialists Of Pueblo 3100 N Academy Blvd Ste 213 Colorado Springs CO 80917-5332 Ph: (719) 597-4060 | Oral Surgery Specialists Of Pueblo 3691 Parker Blvd Pueblo CO 81008-2278 Ph: (719) 212-0777 |
| NPI Number | 1619405396 |
|---|---|
| Provider Enumeration Date | 05/25/2017 |
| Last Update Date | 05/25/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619405396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | (* (Not Available)) | Primary |
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